• Title/Summary/Keyword: 고려양

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Evaluation of Scattered Dose to the Contralateral Breast by Separating Effect of Medial Tangential Field and Lateral Tangential Field: A Comparison of Common Primary Breast Irradiation Techniques (유방암 접선조사 치료 방법에 대한 반대쪽 유방에서의 산란선량 평가)

  • Ban, Tae-Joon;Jeon, Soo-Dong;Kwak, Jung-Won;Baek, Geum-Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.183-188
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    • 2012
  • Purpose: The concern of improving the quality of life and reducing side effects related to cancer treatment has been a subject of interest in recent years with advances in cancer treatment techniques and increasing survival time. This study is an analysis of differing scattered dose to the contralateral breast using common different treatment techniques. Materials and Methods: Eclipse 10.0 (Varian, USA) based $30^{\circ}$ EDW (Enhanced dynamic wedge) plan, $15^{\circ}$ wedge plan, $30^{\circ}$ wedge plan, Open beam plan, FiF (field in field) plan were established using CT image of breast phantom which in our hospital. Each treatment plan were designed to exposure 400 cGy using CL-6EX (VARIAN, USA) and we measured scattered dose at 1 cm, 3 cm, 5 cm, 9 cm away from medial side of the phantom at 1 cm depth using ionization chamber (FC 65G, IBA). We carried out measurement by separating effect of medial tangential field and lateral tangential field and analyze. Results: The evaluation of scattered dose to contralateral breast, $30^{\circ}$ EDW plan, $15^{\circ}$ wedge plan, $30^{\circ}$ wedge plan, Open beam plan, FIF plan showed 6.55%, 4.72%, 2.79%, 2.33%, 1.87% about prescription dose of each treatment plan. The result of scattered dose measurement by separating effect of medial tangential field and lateral tangential field results were 4.94%, 3.33%, 1.55%, 1.17%, 0.77% about prescription dose at medial tangential field and 1.61%, 1.40%, 1.24%, 1.16%, 1.10% at lateral tangential field along with measured distance. Conclusion: In our experiment, FiF treatment technique generates minimum of scattered dose to contralateral breast which come from mainly phantom scatter factor. Whereas $30^{\circ}$ wedge plan generates maximum of scattered doses to contralateral breast and 3.3% of them was scattered from gantry head. The description of treatment planning system showed a loss of precision for a relatively low scatter dose region. Scattered dose out of Treatment radiation field is relatively lower than prescription dose but, in decision of radiation therapy, it cannot be ignored that doses to contralateral breast are related with probability of secondary cancer.

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Comparison of Rotational Strength in Shoulders with Anterior Instability and Normal Shoulders Using Isokinetic Testing (등속성 검사를 통한 견관절 전방 불안정 환자와 정상인의 회전력 비교)

  • Lee, Dong-Ki;Kim, Tae-Kwon;Lee, Jin-Hyuck;Lee, Dae-Hee;Jung, Woong-Kyo
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.79-85
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    • 2012
  • Objective: It has been expected that patient with posttraumatic recurrent anterior shoulder dislocation might have limited daily life activity because of pain and apprehension of dislocation. But there have been only a small number of investigations regarding the rotator strength in this patient. The aim of this study is to find the characteristics about rotator strength of patient with posttraumatic recurrent anterior shoulder dislocation using an isokinetic testing. Method: We enrolled thirteen patients with posttraumatic recurrent anterior shoulder dislocation and fifteen sex, age-matched healthy nonathletic subjects in this controlled study. All participants were male and there were no significant differences between the two groups in age, height, weight, BMI. Isokinetic internal rotator and external rotator strength was evaluated with a Biodex Isokinetic Testing machine (Biodex Medical Systems, Shirley, NY, USA), tests were performed at 60 deg/sec and 180 deg/sec for both sides. Peak torque normalized to body weight, external rotator to internal rotator ratio, total work and fatigue were calculated for each angular velocity. The association between internal rotator and external rotator strength and shoulder instability was analyzed by comparisons with a control group. Results: Any notable differences could not be found between the two groups given all data from no symptomatic left shoulder. There were no significant differences between the two groups statistically in internal rotation strength of right shoulder. However, there has been a tendency that at all angular velocities, external rotator peak torque to body weight, total work and external rotator to internal rotator ratio were significantly lower in the anterior instability group than the control group at all angular velocities. There was no substantial difference between those groups with respect to the fatigue of external rotator and internal rotator in our study. Conclusion: The prominent characteristics of posttraumatic recurrent anterior shoulder dislocation are external rotator weakness and loss of balance with external rotator and internal rotator. Therefore selective training using this information rotator might be helpful in conservative treatment and rehabilitation.

Study on the Education Curriculum and Clinical Practice of Medical Technologists (임상병리사 교육과정 및 임상실습에 대한 연구)

  • Yang, Byoung-Seon;Choi, Se-Mook;Shim, Moon-Jung;Kim, Chung-Hwan;Bae, Hyung-Joon;Yook, Keun-Dol;Kim, Yoon-Sik;Lim, Yong;Kang, Ji-Hyuk;Kim, Hong-Sung;Kim, Dong-Chan;Shin, Gyeonghee;Lee, Sang-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.320-330
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    • 2018
  • This study analyzed the curriculum and clinical practicum of the department of clinical laboratory science in Korea. The 2017 educational curricula of all 3-year and 4-year universities were analyzed. Clinical practice was conducted by a questionnaire. As a result of curriculum analysis, the 3-year curriculum was able to grasp the curriculum that focused on the national examinations of medical technologists, and the 4-year curriculum was open to a variety of subjects reflecting the changes in the future, but only at a few universities. In addition, the autonomous enrollment application made it possible to take a national examination without enrolling in courses that students find difficult in major courses. In the case of clinical practice, it was difficult to standardize in various practical institutes, practice periods, and practice credits. Therefore, it will be necessary to standardize the composition of the credits according to the duration of clinical practice and the duration of education. Moreover, is necessary to revise the curriculum in consideration of medical technologist job analysis and clinical field, and it will be necessary to standardize the curriculum and clinical practice model through the Medical Technologist Evaluation Center.

Effects of Application Method of Dairy Liquid Manure on Productivity of Silage Corn and Sorghum × Sudangrass Hybrid and Soil Characteristics (젖소액비 시용방법이 담근먹이 옥수수와 수수 × 수단그라스 잡종의 생산성 및 토양특성에 미치는 영향)

  • Shin, J.S.;Lee, H.H.;Shin, D.E.;Jo, Y.M.;Jung, E.S.;Lee, J.K.;Yoon, S.H.
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.19 no.4
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    • pp.333-338
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    • 1999
  • The experiment was carried out to find the effects of the application method of dairy liquid manure on productivity of silage corn(P3352) and sorghum $\times$ sudangrass hybrid(P988) and physical and chemical properties of soil during 2 years at Suwon. Crude protein content of T1(Chemical fertilizer) was highest by 6.5%, 8.9% in both forage, respectively, but total digestible nutrient(TDN) percent of T3(dairy liquid manure, basal + chemical fertilizer, topdressing) was highest by 73.8%, 59.0% in both forage, respectively. In TND yield, it was little different between T1(9.5 MT/ha) and others(8.4~9.3 MT/ha) at silage corn, but T4(chemical fertilizer at basal + dairy liquid manure at topdressing) was highest as 13.3 MT/ha at sorghum $\times$ sudangrass hybrid(p<0.05). pH of the soil after experiment was lower than that of the soil before experiment in the both forages, but soil organic matter was high at after trial than before trial. Available phosphorous and exchangeable cation were not shown the regular trend in this experiment. Based on the results of this experiment, it was not shown among different application method for silage corn (P3352), but application of chemical fertilizer at basal and liquid manure at topdressing was good for sorghum $\times$ sudangrass hybrid(P988).

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The Evaluation of Trace Minerals Levels of Pasture Soils and Forages in Jeju (제주지역 목장 토양 및 조사료 자원의 미량광물질 함량 평가)

  • Lee, Chong-Eon;Park, Myung-Hee;Park, Nam-Keon;Park, Hyung-Soo;Oh, Woon-Yong
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.27 no.1
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    • pp.29-36
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    • 2007
  • A study was conducted to determine the trace minerals (Cu, Fe, Cd, Zn, Mo, Se, Mn, Cr, Co, Ni) levels in pasture soils and forages collected in Jeju area. Chemical characteristics and total or soluble trace minerals levels in 187 pasture soil samples (76 very dark brown and 111 black soils) were measured. Total trace minerals contents in hay samples of 60 Italian ryegrass, alfalfa and mixture grasses each were assessed. The pasture soils of Jeju were characterized to have low pH (5.1) and to contain low levels of available $P_2O_5$ (20.5 mg/kg) and exchangeable Ca, Mg, K, Na (2.6, 0.9, 0.5, 0.2 cmol+/kg, respectively) when comparing to upland soils of Jeju or Korean mainland. All trace elements in total or soluble analysis of pasture soils were detected, and there was a big difference between total and soluble levels. The pasture soils tended to have the higher total Fe, Mn, Ni and Zn contents. Cr in all forages was not detected, but other trace minerals levels showed normal range. The hay samples of Italian ryegrass and mixture grasses produced in Jeju tended to contain higher Mn (105 vs 23 mg/kg) and lower Mo (2.7 vs 4.9 mg/kg) than those of alfalfa hay imported from USA. Results show that trace minerals of pasture soils and forages in Jeju seem to be not deficient, indicating that supplementation of some trace minerals are not always necessary in diets for grazing animals and should be done after careful evaluation of diets with regard to concentrations and biological availability of essential elements.

Effect of a Needle Aspiration in Patients with Lymphedema (암 수술 후 발생한 림프부종 환자의 바늘 흡인술 효과)

  • Yang, Gu-Hwan;Kwak, Sung-Wook;Kim, Sun-Hyn;Shin, Young-Tae;Hwang, Hee-Jin;Park, No-Hyeok;Yeom, Chang-Hwan
    • Journal of Hospice and Palliative Care
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    • v.12 no.1
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    • pp.27-31
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    • 2009
  • Purpose: Lymphedemas are tissue fluid swellings, usually on the arms or legs, and occur as a result of impaired lymphatic drainage. Presently, the most effective treatment available is complete decongestive physiotherapy (CDP). However, this therapy is ineffective in some patients and surgery may be indicated. Herein, we examined the efficacy of minimally invasive needle aspiration of the most enlarged areas in hypodermic adipose tissues, of patients who had failed CDP. Methods: We included 21 patients who were diagnosed with lymphedema stage II-III in the upper or lower extremities and visited the lymphedema clinic at a university hospital from September 1, 2003 to February 28, 2004. All patients had been treated with CDP at least once, but had failed to respond to the therapy for more than one year. Nine patients had breast cancer and 12 had cervical cancer. We identified the area with the most severe edema by using MRI and performed a 16-gauge angio-needle aspiration on the area. The patients were followed up for 3 months. Effectiveness of the treatment was evaluated by comparing the volume of edema before and after the treatment using Wilcoxon signed rank-test. Results: The mean reduction ratio of the volume of edema comparison normal volume was 41.1${\pm}$35.3% (P=0.001). There were no major or minor operative complications except localized hemorrhage. Conclusion: We conclude that a needle aspiration prior to other surgical treatments is relatively safe and effective for those patients who are unresponsive to CDP.

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Detection of Irrigation Timing and the Mapping of Paddy Cover in Korea Using MODIS Images Data (MODIS 영상자료를 이용한 관개시기 탐지와 논 피복지도 제작)

  • Jeong, Seung-Taek;Jang, Keun-Chang;Hong, Seok-Yeong;Kang, Sin-Kyu
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.13 no.2
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    • pp.69-78
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    • 2011
  • Rice is one of the world's staple foods. Paddy rice fields have unique biophysical characteristics that the rice is grown on flooded soils unlike other crops. Information on the spatial distribution of paddy fields and the timing of irrigation are of importance to determine hydrological balance and efficiency of water resource management. In this paper, we detected the timing of irrigation and spatial distribution of paddy fields using the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor onboard the NASA EOS Aqua satellite. The timing of irrigation was detected by the combined use of MODIS-based vegetation index and Land Surface Water Index (LSWI). The detected timing of irrigation showed good agreement with field observations from two flux sites in Korea and Japan. Based on the irrigation detection, a land cover map of paddy fields was generated with subsidiary information on seasonal patterns of MODIS enhanced vegetation index (EVI). When the MODISbased paddy field map was compared with a land cover map from the Ministry of Environment, Korea, it overestimated the regions with large paddies but underestimated those with small and fragmented paddies. Potential reasons for such spatial discrepancies may be attributed to coarse pixel resolution (500 m) of MODIS images, uncertainty in parameterization of threshold values for discarding forest and water pixels, and the application of LSWI threshold value developed for paddy fields in China. Nevertheless, this study showed that an improved utilization of seasonal patterns of MODIS vegetation and water-related indices could be applied in water resource management and enhanced estimation of evapotranspiration from paddy fields.

A Case Study On Digital Education Design In Foreign Countries By Analysis Education Condition (선진학교 교육현황 분석을 통한 디지털 교육매체 디자인 국외 사례 연구)

  • Kim, Jung-Hee
    • Cartoon and Animation Studies
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    • s.30
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    • pp.201-219
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    • 2013
  • Development of digital media in education field at America, UK, Japan etc bring big progress on digital device if education. Japan bring huge progress on digital education by nationally. UK use huge a national budget at digital education development and Sweden which is advanced country of education and a welfare state. Especially UK and Sweden's digital education markets are full now aspect more high quality design. Korea which is advanced country of IT adopted digital text book 2007 with mathematics, through science and English digital text book through the state. Korea's digital text book is in a transition period. that needs case study of advanced country of education for setting design guide and educational effect to digital education media and device plan. All researches are based on LG europe design center at London. Analysis by using KJ method, survey of questionnaire, heuristic method at 4 schools in UK and Sweden. Through analytical researches want to more reality simulation at digital education, and high quality contents with digital socialization. co-work with analog, can get any where, anytime user want without any difficulty. Also interactive GUI design of digital education device to easy to access for user. When plan Digital text book content and design needs methodical design guide for target who students and environment an in-depth study of the appraisal and method. The results of the research are introduce the design plan as a basic research and giving useful design plan to make digital educational media in Korea industrial aspect.

A Correlation between Axis-Rotation and Corneal Eccentricity in Toric Soft Contact Lens Fitting in With-the-rule Astigmatism (직난시안에서의 토릭소프트렌즈 피팅 시 축 회전과 각막이심률과의 상관관계)

  • Park, Hyung Min;Park, Kyounghee;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.3
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    • pp.305-313
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    • 2014
  • Purpose: A correlation between the rotating direction and rotation amount according to the eccentricity was analyzed in the present study when fitting the toric soft contact lens. Methods: One hundred fourteen eyes of with-the-rule astigmatism in 20s and 30s were appropriately applied toric soft contact lens by the guideline of manufacturer and fitting evaluations and analyzed the rotating direction and rotation amount when fixating at primary position and 8 different directions of gaze. The speed of reorientation and the correlation between the rotation amount and cornea eccentricity were also analyzed when rotating $45^{\circ}$ each toward the temporal and nasal direction. Results: The cornea eccentricity and rotation amount was shown positive correlation. For the gaze of direction, it was identified that the gaze of directions other than the gaze of direction towards the nasal and temporal had correlation, and among them, the gaze of directions to superior and the superior-temporal showed the tendency of decreasing rotation amount as the cornea eccentricity increased. On the contrary, the gaze of direction towards the inferior, inferior-temporal, superior-nasal, and inferior-nasal showed tendency of increasing rotation amount as the cornea eccentricity increased thus, it was identified that the cornea eccentricity showed different correlation according to the gaze of direction. For the case of re-orientational speed, the speed of lens reorientation in the group having the smallest corneal eccentricity was fastest in both direction but was not significantly different. Conclusions: Considering cornea eccentricity to current method of prescribing toric soft contact lens which is based on total astigmatism, it will be helpful to establish the optimal axis stabilization.

Development of a Residue Analysis Method for Metamifop in Paddy Water, Soil, and Rice with HPLC (HPLC를 이용한 농업용수, 논토양, 및 현미 중 metamifop의 잔류분석법 개발)

  • Park, Hee-Woon;Moon, Joon-Kwan
    • The Korean Journal of Pesticide Science
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    • v.21 no.1
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    • pp.68-74
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    • 2017
  • An analytical method for detecting metamifop residue in paddy water, soil, and rice with high performance liquid chromatography (HPLC) was developed. Water was extracted with ethyl acetate before analyzing by HPLC. Soil residues were extracted with acetone under acidic condition and after purifying with $Extrelut^{(R)}$ NT, and silica SPE, the residue was analyzed by HPLC. For residue analysis in rice, the procedure involved extraction with acetone, purification with $Extrelut^{(R)}$ NT, partitioning between acetonitrile/hexane, purification with silica SPE cartridge, and analysis by HPLC. The limit of detection (LOD) was 1.0 ng, limit of quantitation (LOQ) was 3.0 ng, and method limit of quantitation (MLOQ) were 0.001 mg/L for paddy water, 0.01 mg/kg for rice and soil, respectively. Standard calibration curve shows linearity from 0.05 mg/kg to 5.0 mg/kg ($R^2=0.9999$). The recoveries in fortified paddy water were $91.3{\pm}3.5%$ (0.01 mg/L level) and $93.2{\pm}6.3%$ (0.05 mg/L level). The recoveries in fortified paddy soils were $92.5{\pm}4.0%$ (0.1 mg/kg level) and $92.7{\pm}4.0%$ (0.5 mg/kg level) in soil A, while, $102.3{\pm}4.4%$ (0.1 mg/kg level) and $98.9{\pm}7.9%$ (0.5 mg/kg level) in soil B, respectively. The recoveries in fortified rice were $93.0{\pm}6.9%$ (0.1 mg/kg level) and $85.0{\pm}3.5%$ (0.5 mg/kg level). This method was proved to be effective and can be used to determine the metamifop residue in paddy water, paddy soil, and rice.